Active NPIOrganization

South Coast Dermatology LLC

Specialist in Weymouth, Massachusetts

NPI Number1215911383
Practice location
90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3100
Fax
781-335-9709
Last updated
February 22, 2018

South Coast Dermatology LLC is a healthcare organization based in Weymouth, MA. South Coast Dermatology LLC practices in Weymouth, MA. The NPI Number for South Coast Dermatology LLC is 1215911383. The current practice location address for South Coast Dermatology LLC is 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3100 and can be reached out via phone at 781-335-9700 and via fax at 781-335-9709.

Provider Profile Details

NPI Number
1215911383
Provider Name
South Coast Dermatology LLC
Provider Entity Type
Organization
Address
90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3100
Phone Number
781-335-9700
Fax Number
781-335-9709
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Teresa Degiacomo, MD · Medical Doctor · 781-335-9700
Provider Enumeration Date
December 2, 2005
Last Update Date
February 22, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Libbey Pkwy
Suite 200
Weymouth, MA 02189-3100
Zip
02189-3100
Phone Number
781-335-9700
Fax Number
781-335-9709
Weymouth, MA 02189Get directions →

Provider Business Mailing Address Details

Address
90 Libbey Pkwy
Suite 200
Weymouth, MA 02189-3100
City
Weymouth
State
MA
Zip
02189-3100
Phone Number
781-335-9700
Fax Number
781-335-9709

License Information

Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of South Coast Dermatology LLC?

The NPI number of South Coast Dermatology LLC is 1215911383. It was assigned on December 2, 2005 and is currently active in the NPPES registry.

What is the specialty of South Coast Dermatology LLC?

South Coast Dermatology LLC is registered under the primary taxonomy Specialist (code 174400000X).

Where does South Coast Dermatology LLC practice?

The practice location is 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3100. The office can be reached at 781-335-9700 (phone) or 781-335-9709 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215911383 directly on the NPPES registry website.

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